Individual provider Active NPI

Jadon Lee Redington, PA-C

  • Medical Physician Assistant
  • Lonetree, CO
National Provider Identifier
1740536804
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0003494 Issued in CO
Practice address
8500 Park Meadows Dr
Suite 200
Lonetree, CO 80124-2742
Phone
(303) 367-2225
Fax
(303) 343-8702
NPI assigned
Jul 26, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0003494 CO Primary

Addresses

Primary practice location

8500 Park Meadows Dr
Suite 200
Lonetree, CO 80124-2742

Mailing address

PO Box 172263
Denver, CO 80217-2263
Phone (248) 983-5308

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120911000254 CO Practitioner - Physician Assistant 8820277882 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Back InstituteGroup PAC ID 0840733341, 2 clinicians

Practice addresses (Care Compare)

10535 Park Meadows Blvd
Suite 150
Lone Tree, CO 80124-8401
Phone (720) 441-4021

Hospital & facility affiliations

  • Sky Ridge Medical Center Hospital, Lone Tree, CO, CCN 060112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0003494COMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mindyourpain Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1740536804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 172263",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802172263",
            "telephone_number": "248-983-5308",
            "fax_number": "720-360-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 PARK MEADOWS DR",
            "address_2": "SUITE 200",
            "city": "LONETREE",
            "state": "CO",
            "postal_code": "801242742",
            "telephone_number": "303-367-2225",
            "fax_number": "303-343-8702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDINGTON",
        "first_name": "JADON",
        "middle_name": "LEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-26",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "0003494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lonetree, CO

Sources for this page

Verify at the official NPI Registry.